| NPI | 1205280013 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 26963)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 172681)  | 
| Enumeration Date | 2016-04-18 | 
| Last Update Date | 2025-03-18 |